17-105363 r
Building - Commercial
City of Federal Way Permit #:17-105363-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: EL BARRIO
Project Address: 4624 SW 320TH ST Parcel Number: 112103 9101
Project Description: TI-Construct a non-load bearing wall and replace bathroom fan. No plumbing.Mechanical
included.
Owner Applicant Contractor Lender
CMBA NO 3 LLC GING RIVERAGINO'S BISTRO CLEAR CHOICE WINDOWS LLC
13219 NE 10TH PL 4624 SW 320TH ST 30415 1ST PL S
BELLEVUE WA 98005-2726 FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included Yes Plumbing Work Valuation9 0
Mechanical Work Valuation9 30 Number of Stories 1
Is this an Online or O.T.C.applications No Permit for Building Shell Only9 No
Plumbing to be Included? No
Total Valuation:300.00
• „Mechanical Fixtures
Fans 2
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Sunday,6 May,2018
Permit Issued on Tuesday,November 7,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: `..r_ Date: 1 ) � '�
..-SL—N,-N ,A
THIS CARD IS TO REMAIN ON-SITE .
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105363 00 Address: 4624 SW 320TH ST
Project: CMBA NO 3 LLC FEDERAL WAY WA 98023
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
® Initial Erosion Control(4365) ® Footings/Setback(4110) ® Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
C Slab/Concrete Floor(4255) ® Underfloor Framing(4285) ® Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date _ By Date By Date
® Mechanical Rough-in(4165) ® Gas Piping(4125) ® Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date By Date By Date
ED Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 9'l Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in Approved to insulate
and Fire/Draft Stop inspections must be signed-
By Date off and approved. IBC 109.3.4 By Date
CI Insulation(4150) CI Gypsum Wallboard Nailing(4130) 111 Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By t Date t 1--i 4_1.1 By Date
i
Final-S K F&R(4060) El Final Erosion Control(4375) CI Final-Mechanical(4065)
Approved Approved Approved
By Date By Date By LA ‘ Date t i ,,, Ili;I-1
11 Final-Building(4050)
Approved
By mow,,,„ Date 11--11—J )"1
CI Rough Electrical ❑ Final Electrical111Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED APPLICATION,
.411116. PERMIT
CITY OF
NOV U 7 2017/ PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY AY
COMMUNITY DEVELORALPMENT
PERMIT NUMBER 0 5 3 4U 3 _ C O (S
4 1 TARGET DATE
SITE ADDRESS SUITE/UNIT#
t—/ L/ s CJ -32011/
2f, fi (A,i 8‘0z
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ — 2 I 0 3 - 1 I 0
TYPE OF PERMIT sk-$LJILDING ❑ PLUMBING JLV MECHANICAL El DEMOLITION D ENGINEERING D FIRE PREVENTION
NAME OF PROJECT G 1 f\O 1 ) 6‘)(0..A.3
/
PROJECT DESCRIPTION v � ► f-� / /
GV
Detailed description of work to \C 1Y 'o6J1.1�! 1 C� i \r1)`' - 11'167 N1
be included on this permit only
NAME PRIMARY PHONE
M kA" '7 I ( 9Y 3 -24�3
PROPERTY OWNER MAILING ADDRESS -MAI a
112- ars; O+ '(LIc 2__
C Y STATE ZIP
P
C( Y CGAct- 5e;vlul LLC PHONE -1 -Cj
MAILING ADDRESS E-MAIL
CONTRACTOR 0 sr 7 pI L V-k.neCket,0101(k 11e�
CITY STATE ZIP ; FAX
kri
tr, 116 00 3
WA STATE CONTRAC OR'S LICENSE if EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
t,t IC
NAME PRIMARY PHONE
CA 111 0 4'-\_- 1-�Zy�-
APPLICANT- MAILING ADDRESS E-MAIL
Li6;2-•4 S LAI `3 7u etrr 646-(741f.eQQy�I����.�
k) STATE u A ZIP
iL 3 ,A42
PRIMARY PHONE
PROJECT CONTACT \ `=' K�.t (Z— ('S Col 1-} "�
(The individual to receive and MAILINGp � ADDRESS E-MAIL r
respond to all correspondence - AQ-f ) 77� ���i� ��1 �t^��o--
concerning this application) CITY STATE ZIP A�c
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to arty claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as part of this application.
SIGNATURE: DATE 11
PRINT NAME: \0O
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offi cture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑ Yes E No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
_.__..----._r.._.M.,....__...�.__._..__ _..._
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ J # OF BEDROOMS I
COMMERCIAL—NEW/ADDITION
Area in Construction I #of
AREA DESCRIPTION Square Feet Occupancy Group(s) Additional Information
NEW BUILDING
ADDITION j I
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application